Gastric Outlet Obstruction: An Unusual Hernia

Gastric Outlet Obstruction: An Unusual Hernia

Author Info

Corresponding Author
Naveed Abbas
Department of Surgery, Midlands Regional Hospital Portlaoise, Portlaoise, Co. Laois, Ireland

A B S T R A C T

An 85-year-old male presented to the emergency with recurrent acute vomiting, abdominal distension and long standing constipation. Background history was significant for a large, incarcerated inguinoscrotal hernia and congestive cardiac failure. Computed tomography scan showed non-dilated large bowel loops along with part of the gastric antrum and omentum in the hernial sac. He was managed conservatively with bowel rest as he refused decompression. He settled well on conservative management and was started on light diet after 48 hours with progressive upgrading of food to which he showed good tolerance. He also resumed normal bowel movements during the same time. During his admission he was managed by Cardiology for congestive cardiac failure. He was discharged home with instructions and education about findings to both patient and carers and for follow up to discuss possible endoscopy.

Article Info

Article Type
Case Report
Publication history
Received: Wed 29, Apr 2020
Accepted: Sat 23, May 2020
Published: Thu 28, May 2020
Copyright
© 2019 Naveed Abbas. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.AJSCR.2020.02.09